laderalis

laderalis

LTC

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All Content by laderalis

  1. NH Residents without ID bands

    laderalis replied to JustAdmitToObs's topic in Geriatric, LTC

    We use pictures too, but they are in color. We only use name bands on new admits before we get a picture. It was weird for me to have someone else ID the resident, but you will learn them in no

  2. Oral pain med alternative

    laderalis posted a topic in Hospice, Palliative

    We have a resident that often refuses anything oral. She has some pain in her hips/legs that was are treating with Lortab elixir. We cannot use a fentanyl patch because of an allergy. Is there another...

  3. Oral pain med alternative

    laderalis replied to laderalis's topic in Hospice, Palliative

    We are not entirely sure where the pain is because she is non-verbal and has dementia. From her body language it appears to be in her hip/leg. She will not take much by mouth. I'm guessing either due...

  4. Flexible med times

    laderalis posted a topic in Geriatric, LTC

    I tried searching for this topic and didn't come up with much. If you know of an existing thread already, let me know. Our facility is going to be implementing a more flexible med time schedule pretty...

  5. I hate being a Nurse

    laderalis replied to Runninonempty's topic in Geriatric, LTC

    Sounds like a bad facility. I work in a LTC/SNF and we have 17-24 residents on days/afternoon and 36 on NOC. Not all facilities are bad. Look around if you can. Give it a second chance. I love my...

  6. Would you accept this call out excuse?

    laderalis replied to motherof3sons's topic in Geriatric, LTC

    And what if she really was too tired? Would you want someone with no sleep working? That just isn't safe. If its habitual, then there is a problem, but habitual call-ins happen for a number of...

  7. DNR help?!?!!

    laderalis replied to vaLPN757's topic in General Nursing

    DNR means, in my facility which is a rehab/LTC, I'm not going to hook them up to the AED, should they be found not breathing with no pulse. It has NOTHING to do with treatment before that point. I...

  8. Is 2 weeks enough orientation new grad?

    laderalis replied to eelise11's topic in Geriatric, LTC

    Haha cape cod. That reminds me of something a nurse said to me that doesn't pertain to this but is funny. I was off almost a week and when I came back I asked the reporting-off nurse "so, is there...

  9. Orders.

    laderalis replied to lauriepat's topic in Geriatric, LTC

    I would not have dc'd the order. She should have written out a proper order instead of dc'ing it. If that's what the prescriber wrote on the lab sheet that's the order they want. We would still need...

  10. What meds to keep

    laderalis posted a topic in Hospice, Palliative

    How do you (with the Dr of course, if applicable) decide what meds to keep and what meds to discontinue? I have two patients on hospice who are still on thyroid pills. Is this common? They are both...

  11. What can I do to prepare for a hospice job?

    laderalis replied to Elle23's topic in Hospice, Palliative

    You could apply at a LTC place. They are all not bad (I work at a good one). You would certainly get adult experience and even some hospice experience. There are usually openings available,

  12. Narcs sent home with wrong resident

    laderalis replied to laderalis's topic in Geriatric, LTC

    Two of the three cards were brought back but I don't know exactly how and I don't know what was said. Assuming the DON called and they were retrieved by an employee. I don't know if the nurse that...

  13. Narcs sent home with wrong resident

    laderalis posted a topic in Geriatric, LTC

    I work in a LTC facility that also does rehab. Recently I noticed that a fellow nurse had sent three cards of Norco home with the wrong resident. Our narcs are kept in a locked drawer in our med...

  14. Narcs sent home with wrong resident

    laderalis replied to laderalis's topic in Geriatric, LTC

    My question is about sending a controlled substance home with the wrong person! We send home narcs often, just not to the wrong person. At the minimum it's a HIPAA

  15. Long story...need to vent ...

    laderalis replied to blessedmomma247's topic in Geriatric, LTC

    I hand people their inhalers all the time. I don't think that was the reason. I think they tried to make you the

  16. Narcs sent home with wrong resident

    laderalis replied to laderalis's topic in Geriatric, LTC

    We only send home narcs and opened items, like inhalers, insulin vials etc because we can't send them back to pharmacy for the resident to get credit. All other meds go back to pharmacy and the...

  17. MARS: electronic or paper?

    laderalis replied to hope3456's topic in Geriatric, LTC

    Sounds like LTC is exempt. Darn it! We use paper MAR/TAR and charts. We do incident reports online though. I wish we did more online. I can type much faster than

  18. 12 hour shift question

    laderalis replied to BOSS man's topic in General Nursing

    I work 7p to 7a and like working 3 in a row. I feel like crap the last shift, but its easier to switch my sleep around when they are

  19. NOC nurse

    laderalis replied to CYoungLPN's topic in Geriatric, LTC

    Our paperwork is much more streamlined. No extra books. Just the main TAR/MAR book. All pain follow up and behavior things are charted in those books. All insulin is in that book. I have 35...

  20. NOC nurse

    laderalis replied to CYoungLPN's topic in Geriatric, LTC

    I work NOC and like it for the most part. I spend a lot of time following up on paperwork and labs. I try to update care plans when needed (new skin issue, new infection, etc). I make sure admit...

  21. Weepy arms

    laderalis posted a topic in Cardiac

    I work in LTC and take care if a resident that is morbidly obese with DM, a fib, probably CHF and has a pacemaker. Recently her arms have begun to weep clear fluid. We just put her on a fluid...

  22. Gero NP dreams vs. experience

    laderalis replied to Vespertinas's topic in Geriatric, LTC

    Why wouldn't you work as an RN on the floor? I'm an RN in LTC/Rehab. I love it. I would have more respect for someone who had been in my shoes, but then again our MD has never worked the floor and I...

  23. discolorations

    laderalis replied to epg712003's topic in Geriatric, LTC

    Are you talking about bruises? If so, it depends on how bad a bruise and nurse/patient history. I doubt someone could lose their license over a

  24. Destroying medications

    laderalis replied to nurseywifeymommy1's topic in Geriatric, LTC

    We use the Drug Buster too. It reeks, but is safer and easier. We mostly put used fentanyl patches in

  25. Barrier ointment

    laderalis replied to rehabwoundnurse's topic in Wound, Ostomy, Continence

    We use EPC and PO, both by Secura. EPC is like traditional diaper cream and PO is an ointment. Both come off easily. I HATE the scent if PO though, smells like